This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3
Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
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Request for Subcutaneous injection with multiple dosage lines - Insulin - Novolog - active - includes reasonCode and note. Dosage includes additionalInstructions as text
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/MedicationRequest/medrx0321> a fhir:MedicationRequest; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "medrx0321"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: medrx0321</p><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: </p><p><b>subject</b>: <a>Donald Duck. Generated Summary: id: pat1; Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male; </a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Patrick Pump. Generated Summary: id: f007; id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); ph: 020556936(WORK), S.M.Heps@bmc.nl(WORK), fax: 0205669283(WORK); gender: female; birthDate: 1971-11-07</a></p><p><b>reason</b>: </p><p><b>note</b>: Check blood sugar levels before taking insulin</p><p><b>dosageInstruction</b>: , , </p><h3>DispenseRequests</h3><table><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td></tr><tr><td>*</td><td>2015-01-15 --> 2016-01-15</td><td>3</td><td>10 ml</td><td>30 days</td></tr></table></div>" ]; fhir:DomainResource.contained [ a fhir:Medication; fhir:index 0; fhir:Resource.id [ fhir:value "med0307" ]; fhir:Medication.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/ndc" ]; fhir:Coding.code [ fhir:value "0169-7501-11" ]; fhir:Coding.display [ fhir:value "Novolog 100u/ml" ] ] ]; fhir:Medication.doseForm [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:385219001; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "385219001" ]; fhir:Coding.display [ fhir:value "Injection solution (qualifier value)" ] ] ]; fhir:Medication.ingredient [ fhir:index 0; fhir:Medication.ingredient.item [ fhir:CodeableReference.concept [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:325072002; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "325072002" ]; fhir:Coding.display [ fhir:value "Insulin Aspart (substance)" ] ] ] ]; fhir:Medication.ingredient.strengthRatio [ fhir:Ratio.numerator [ fhir:Quantity.value [ fhir:value "100"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "U" ] ]; fhir:Ratio.denominator [ fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "mL" ] ] ] ]; fhir:Medication.batch [ fhir:Medication.batch.lotNumber [ fhir:value "12345" ]; fhir:Medication.batch.expirationDate [ fhir:value "2019-10-31"^^xsd:date ] ] ]; fhir:MedicationRequest.identifier [ fhir:index 0; fhir:Identifier.use [ fhir:value "official" ]; fhir:Identifier.system [ fhir:value "http://www.bmc.nl/portal/prescriptions" ]; fhir:Identifier.value [ fhir:value "12345689" ] ]; fhir:MedicationRequest.status [ fhir:value "active"]; fhir:MedicationRequest.intent [ fhir:value "order"]; fhir:MedicationRequest.medication [ fhir:CodeableReference.reference [ fhir:Reference.reference [ fhir:value "#med0307" ]; fhir:Reference.display [ fhir:value "Novolog 100u/ml" ] ] ]; fhir:MedicationRequest.subject [ fhir:link <http://hl7.org/fhir/Patient/pat1>; fhir:Reference.reference [ fhir:value "Patient/pat1" ]; fhir:Reference.display [ fhir:value "Donald Duck" ] ]; fhir:MedicationRequest.authoredOn [ fhir:value "2015-01-15"^^xsd:date]; fhir:MedicationRequest.requester [ fhir:link <http://hl7.org/fhir/Practitioner/f007>; fhir:Reference.reference [ fhir:value "Practitioner/f007" ]; fhir:Reference.display [ fhir:value "Patrick Pump" ] ]; fhir:MedicationRequest.reason [ fhir:index 0; fhir:CodeableReference.concept [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:44054006; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "44054006" ]; fhir:Coding.display [ fhir:value "Diabetes mellitus type 2 (disorder)" ] ] ] ]; fhir:MedicationRequest.note [ fhir:index 0; fhir:Annotation.text [ fhir:value "Check blood sugar levels before taking insulin" ] ]; fhir:MedicationRequest.dosageInstruction [ fhir:index 0; fhir:Dosage.sequence [ fhir:value "2"^^xsd:integer ]; fhir:Dosage.text [ fhir:value "inject 10 units subcut 10 minutes before breakfast" ]; fhir:Dosage.timing [ fhir:Timing.repeat [ fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ]; fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ]; fhir:Timing.repeat.periodUnit [ fhir:value "d" ]; fhir:Timing.repeat.when [ fhir:value "ACM"; fhir:index 0 ]; fhir:Timing.repeat.offset [ fhir:value "10"^^xsd:nonNegativeInteger ] ] ]; fhir:Dosage.doseAndRate [ fhir:index 0; fhir:Dosage.doseAndRate.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ]; fhir:Coding.code [ fhir:value "ordered" ]; fhir:Coding.display [ fhir:value "Ordered" ] ] ]; fhir:Dosage.doseAndRate.doseQuantity [ fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "U" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "U" ] ] ] ], [ fhir:index 1; fhir:Dosage.sequence [ fhir:value "2"^^xsd:integer ]; fhir:Dosage.text [ fhir:value "15 units before lunch" ]; fhir:Dosage.additionalInstruction [ fhir:index 0; fhir:CodeableConcept.text [ fhir:value "Before Lunch" ] ]; fhir:Dosage.timing [ fhir:Timing.repeat [ fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ]; fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ]; fhir:Timing.repeat.periodUnit [ fhir:value "d" ] ] ]; fhir:Dosage.doseAndRate [ fhir:index 0; fhir:Dosage.doseAndRate.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ]; fhir:Coding.code [ fhir:value "ordered" ]; fhir:Coding.display [ fhir:value "Ordered" ] ] ]; fhir:Dosage.doseAndRate.doseQuantity [ fhir:Quantity.value [ fhir:value "15"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "U" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "U" ] ] ] ], [ fhir:index 2; fhir:Dosage.sequence [ fhir:value "1"^^xsd:integer ]; fhir:Dosage.text [ fhir:value "20 units before dinner" ]; fhir:Dosage.additionalInstruction [ fhir:index 0; fhir:CodeableConcept.text [ fhir:value "Before Dinner" ] ]; fhir:Dosage.timing [ fhir:Timing.repeat [ fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ]; fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ]; fhir:Timing.repeat.periodUnit [ fhir:value "d" ] ] ]; fhir:Dosage.doseAndRate [ fhir:index 0; fhir:Dosage.doseAndRate.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ]; fhir:Coding.code [ fhir:value "ordered" ]; fhir:Coding.display [ fhir:value "Ordered" ] ] ]; fhir:Dosage.doseAndRate.doseQuantity [ fhir:Quantity.value [ fhir:value "20"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "U" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "U" ] ] ] ]; fhir:MedicationRequest.dispenseRequest [ fhir:MedicationRequest.dispenseRequest.validityPeriod [ fhir:Period.start [ fhir:value "2015-01-15"^^xsd:date ]; fhir:Period.end [ fhir:value "2016-01-15"^^xsd:date ] ]; fhir:MedicationRequest.dispenseRequest.numberOfRepeatsAllowed [ fhir:value "3"^^xsd:nonNegativeInteger ]; fhir:MedicationRequest.dispenseRequest.quantity [ fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "ml" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "ml" ] ]; fhir:MedicationRequest.dispenseRequest.expectedSupplyDuration [ fhir:Quantity.value [ fhir:value "30"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "days" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "d" ] ] ] . <http://hl7.org/fhir/Patient/pat1> a fhir:Patient . <http://hl7.org/fhir/Practitioner/f007> a fhir:Practitioner . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/MedicationRequest/medrx0321.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/MedicationRequest/medrx0321.ttl> . # -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.